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�:avnco!ar.�rn•rnt, cin:c•�c�isr <br /> .-. ,_: ,.: ,.� ,.: �.� �.� ..: ,.: ,.: ,.: ..: ,.. ,.: ,. ,_ <br /> : I : "-: <br /> �.r� I In!rnriuctir�n: 7'hc S lMc Y:nvironrnent;�l i'ulicy Act nf]97], <br /> — s'. — l' Chapicr 43.2iC. 11C1i, rc�uires r.11 slatc and !oe;�l gr;crumrntr�l <br /> � agencica lo coneider onv3ronmentnl valnea Lolh for lhcir a�:n <br /> ncli�in�: ond whnt� liccreing privutc propo�nl�. Thc Act nlno <br /> +.e ,.e +.: �-: c-� c.i ..e e-z ..e ..¢ e.: .-i I ,.: .-: rcyuires L'iat en tiI3 Le prrpored fur nll mnjor nctiona rignificanUy <br /> � offecfing the qunlity uf tAe environmenL 7'he purposc of Ihis <br /> . cheddL•:l is to 6r.lp tiie n�encir.0 involved drtcrminc wheiLcr or not <br /> }�iM Si. I <br /> n proposal is such a mnJor nction. <br /> ... ... ,.� ... . <br /> Pfrnse nn�.n•cr lhe fu)lonin�yve5tione n�, cmnpletely us you can <br /> •.. +� ... .-. � ... c.� a� c-� t ..� i e.e ..e 1 •a ..e i ,.: I " . e e•ith ihe inCormnlion presenUy nv�ilnUle to yau. lVhere expl�mr.tlon: <br /> of your anrstrces are required, or v:herc yrni bclieve nn explan6ti��n <br /> wovtd be heipful lo �overmnr,nt dccisiom m�kerv, inelude your <br /> °tN �* exp]nn,^.lion 7n lhe r•pnce pmvided, or use ndclillonnl pngcs if <br /> �� '�� � � � � �� neecs;ary. Yoa shuulA includc rcferences to nny reports or slvdfe.^• <br /> `-' "-' "'' "�' "�' "•� "•s I uf whfcli you nre nv:r,ro nnd w}iich ure relevnn. to fhe nnswero you <br /> ... c-i o� <br /> provide. Complcic nne��verc to U�esc qocsliuna now �rill Lclp all <br /> I ... ... ... ... .a c- �.. ^.. ❑ I ' agencies involved wflh your proposal to vnderinke Ute requlred <br /> envirunment�l revfen� '�edlhovt vnnccessery delr.y. <br /> �vE.�r. .rt. . . <br /> I �-� I J c-� �-. �.. O � �.. Thc follos:in�ym�stions npply to your tolnl pruposnl, nol just :o Ihu <br /> llcensc for srhicn you nre currently upplying or lhe proposol for <br />� �.� �-� � ..� ... � ..e c.i a� c.i �.� o-� ,-. tvhleL npPl•ovnl is hou�:ht. Ywr nnswcrs Fhould fncleide ILe impxet� <br /> ❑�f g 8 ❑❑ s ❑ ❑ g � � �� � � y wlilch wlll be cimsed by ymir prop�en] wLen if is coinplrh.d, M�en <br /> e-� �' w� �.. ' ,.. �.. lhough comp)etion muy not occu^ imlil �urietime in Ihc fu!m•e. This <br /> a �� 0 : � - D :� I; <br /> auw.N�. EkopoSED SRE ar. rrill nlio�v nll of ihe ngencies «•hich lvill Ue i�rvoh•ed In en:nplelc <br /> w <br />�I � i thc:r envlronmeulnl review nov;, wilhwt dupliculing I�Epc.rwurk in <br /> 41 �., tlic futurc. <br /> ._. ... ... �, �-� ❑a o � <br /> I' � ❑ I� ItOTT: This fs a stsndnrd form bcir;ur:e:l by NI slnle nnd locnl <br /> � n;cucfes In thc Slntc ef Wnshinglon for vnrioue types oi propusNs. <br /> ����rr �„�. Mnny of the yucelimia moy nol cpply to yom• propotnl. If u qursGmi <br /> ` y docc not +�pply, jusf nnr.wer il"no° nnd contiimc on to thc ncr.1 <br />� R:rq �� QVCBIIOII. <br /> � ~ � _. CNVIIiO�TIGN1'AI. CII';Cl<LiST I'OR(.1 <br />�� - _ <br /> I i ���� s*. 1. IIACRGROU�'b <br /> ! 00 �0 0� �0 � - =- <br /> ` l. Nnmc of Propon^nt� Pfxza ldut of cp_okrl�c inc. <br /> + � 2. A�dreFe mid Yhone Numbcr uf 1'roporenl: <br /> � �, 11101 N.R. Bth st., /(21B, I7e11�_we, Wechingt.on ?-')04 <br /> I � � � nhone: 455-4q99 -_ <br /> 3. Dale Checl:lisl SuLmilted 21 July, lg/7 T <br />� I <br /> I I �M IN �0•i�-0 <br /> CIiY 0� [YIIIRT �L�MNIMO O[�T. <br /> I <br />' 1 . r � � <br /> I <br />